A study looking at the impact of redesigning urgent and emergency care two and a half years after the first bespoke emergency hospital opened in Northumberland found some unexpected consequences of change, notes Dr Adam Steventon

Areas covered by new care model vanguards saw a fall in the GP referral rate during 2016 and 2017, and very slightly lower growth in emergency admission rates than the rest of England, analysis by HSJ indicates.

The chief executive of a county council is to become accountable officer of a vanguard clinical commissioning group as part of plans to pave the way for a new accountable care organisation, HSJ has learned.

Public sector leaders should set a target for ”radically” increasing preventative spending and create a dedicated investment pot for it, according to a commission chaired by the Public Health England chief executive.